FORM 1023-EZ for HERMANTOWN HAWKS BLUE LINE CLUB INC

Field Data
EIN 83-1508441
Case Number EO-2018313-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERMANTOWN HAWKS BLUE LINE CLUB INC
Organization’s Mailing Address 4309 UGSTAD ROAD
City HERMANTOWN
State MN
ZIP 55811
Accounting period End 12
Primary contact name CHRISTOPHER S DAVIS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRANT HUTTEL
PRESIDENT
2838 HAGBERG ST
DULUTH MN 55811

Officer/Director/Trustee Two

ERIK PETERSON
VICE PRESIDENT
4029 STEBNER RD
HERMANTOWN MN 55811

Officer/Director/Trustee Three

CONNOR LUCAS
TREASURER
1715 WARREN AVE
DULUTH MN 55811

Officer/Director/Trustee Four

COREY KOLQUIST
SECRETARY
5321 SPLIT RAIL DR
HERMANTOWN MN 55811

Organization’s website WWW.HAWKSBLC.COM
Organization’s email INFO@HAWKSBLC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GRANT HUTTEL
Signature Title PRESIDENT
Signature Date 11/7/18

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